> Competent professionals fudge requirements they consider to be irrelevant all the time (inb4 no true Scotsman).
That's because they know more than the people who wrote the requirements, because the requirements were written 15 years ago when the medical profession as a whole knew a lot less about $INSERT_CONDITION_HERE.
You'll also notice that those requirements are explicitly written to permit fudging. “Two or more of the below”, “most of these”, “one or more”, “or other reason” etc..
That's because they know more than the people who wrote the requirements, because the requirements were written 15 years ago when the medical profession as a whole knew a lot less about $INSERT_CONDITION_HERE.
You'll also notice that those requirements are explicitly written to permit fudging. “Two or more of the below”, “most of these”, “one or more”, “or other reason” etc..